Abstract: Intrahepatic cholangiocarcinoma is a highly invasive malignant tumor. In recent years, the incidence has been increasing every year, and radical resection is considered as the only effective way to cure ICC. Lymph node metastasis is an important prognostic risk factor for ICC. In the radical resection of intrahepatic cholangiocarcinoma, the issue of lymph node dissection remains controversial, in which whether lymph node dissection, the way and extent of lymph node dissection, as well as the significance and value of lymph node dissection are the focus of the current research. In this paper, the hotspots and controversies of lymph node dissection for intrahepatic cholangiocarcinoma were discussed.

Key words: intrahepatic cholangiocarcinoma, lymph node metastasis, lymph node dissection, diagnosis, treatment

摘要： 肝内胆管癌是一种高度侵袭性的恶性肿瘤,近年来发病率逐年升高,根治性手术切除被认为是可能治愈的唯一方法。淋巴结转移是手术预后的高危因素,在肝内胆管癌根治性切除术中,淋巴结清扫问题仍存在很多争议,其中淋巴结清扫与否,淋巴结清扫的方式和范围,以及清扫的意义和价值更是当下研究的热点。本文就肝内胆管癌淋巴结清扫的热点与争议进行了讨论。

关键词: 肝内胆管癌, 淋巴结转移, 淋巴结清扫, 诊断, 治疗